Individual
STACEY MIRIAM STAUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
757 WESTWOOD PLZ, B711 RRUMC, LOS ANGELES, CA 90095-7419
(310) 267-9129
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A149689
CA
208M00000X
Hospitalist Physician
Primary
A149689
CA
Other
Enumeration date
03/31/2015
Last updated
04/18/2022
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